Organization
RACHEL C CANSECO-BERBANO, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL CANSECO BERBANO M.D. (OWNER)
(570) 718-0505
Entity
Organization
Contact information
Practice address
445 WYOMING AVE, KINGSTON, PA 18704-3601
(570) 718-0505
(570) 718-0522
Mailing address
445 WYOMING AVE, KINGSTON, PA 18704-3601
(570) 718-0505
(570) 718-0522
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/11/2007
Last updated
07/18/2008
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